HomeMy WebLinkAbout1992-004055 - bay window/extend fl PERMIT
. �I�Y OF ORONO PERMITTYPE: �;;�;�,;,�;u�,
1335 Brown Rd. South • P.O. Box 66 Permit Number: �����!�ii!'��:�
Crystal Bay, Minnesota 55323 Date Issued: #�.�,i j��j:�_==�=
(612) 473-7357
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: -- �-����-�� }'�������:`��*;' ���'�'
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APPLICA i PERMITEE SIGNATURE ISSUED BY:SIGNATUR
. - L�c��:�c�� �i/� _ _ __ . _
' CHECR OFF LIST FOR ISSIIANCE OF PERMITS �`"/��
• FOR OFFICE USE ONLY
ADDRSSS OR LEGAL: � ��.� C.�4•�CL-C:O �� /�l� ` PID: v�G /��� '� 3 .,"� c9Gl,�`
DESCRIPTION OF WORR: r-�C �t C�l�,'*-c..�% E' C�! C�e;� .,j� ��
------------------------(-�--- -------------------------------------------------
ZONING REVIEW BY:� �Clvv�e,..— _ DATE APPROVED: � 1 - fo -�t (
BIIILDING REVIEW BY: �c.�(� DATE APPROVED: 1(- � '�(
FSES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �� /�o
PLAN REVIEW Yes Y�o SEWER CONNECTION
STATE SURCHARGE Yes ✓ No � WATER EENNECTION
INVESTIGATION FEE Yes No� PARK F
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------
ZONING CHECR LIST Zoning District: GR-/L
Fire Department: l�vrv✓� Post Office: (�t//�Z School District:
Lot Area: /V�L Width: N l C Depth: N�C-
Survey Submitted: Yes�C No Date of Survey: pN �=�[.c S- ZG• �7
Proposed Setbacks:
�t (Lake) : /YO�.f' Right Side: �/i4
� (Street) : �pp�f Left Side: ►► � '�
Adjacent structures : /f/l/� wetland: /I/�/'?
Building Height: Def. Hgt._ Peak Hgt.
Avg. Setback: , L Co ge:
Existi Prop e
F7?rri�e9ar: Q-']� �
75-250 '
250-500 '
�
500-1000 '
� , �
Hardcover Variance R uired: es� N �ate of Council Approval:
/ ;
Grading: Staff Appr val Date: %� By:�_ Council Approval Date:
Septic: Staff Approval Date: G� BY�
Zoning File: # Resolution # : Resolution Date:
REMARRS (in house) :
_ __ __ _ ..-_ _
_._� ..
BIIILDING REVIEW CHECR LIST �
pgC: �f�' /Z 3 CONSTRIICTION TYPE: � �
Sq Footage $ Per� Sq Ftg
Basement X -
lst Floor X -
2nd Floor X -
Garage X -
x =
TOTAL
Estimated Construction Value: $ 5,,�v
Inspectians Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
�Footing Mechanical Fire
�Framing Septic Water Connection
�Insulation Fireplace Sewer Connection
�Wall Board (Masonry) Other
�Final (Mfg. ) Well State Permit
Other Electrical (State Permit)
RRMARRS (IN HOIISE) :
------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date BY=
----------------------------------------------------------------
RF�MARRS (TO B$ NOTSD ON PERMIT) :
„, CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ �j � ��� �5 G' Date Received: � - 7 - ��_
-�
`� Date Approved:
Entered By: �`-'��' . �
'� � Permit#: ��-�''s
AT•T. INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIE`W WILL B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
2'HE APPLICANT IS: (circle one ) OWNER or CONTRACTOR
JOB SITE ADDR$SS: `� Y"y G�St�`� �� . �"� ZIP: S �3 J �
(work) 3''� Z �-u'�=
NAPSL OF OWNER: lZ.='j„�' � . �✓��U�-c� l � PHONE: (home) �'�”t �3� )�
MAILING ADDRESS: 2�t%� ��>f� �t - �� • CITY� (�,/v�-c: ZIP: � � �`7 /
CONTRACTOR: PIiONE:
MAILING ADDRESS: CITY: ZIP:
TYPE OF WORK: New Addition ,i Accessory Structure Move
Demo Remode�/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) :_.��r s'�� �I �'7 �`~���� �� �, ��'�� /��'•"' —
G%XK'�OCI� ��oL;v �r f r/c�yc+ �U e--sc.l.�ra �o ;�.:.�i L1.
STORIES: SQ. FEET OF EACH FI�OOIZ:
NO. OF BEDROOIKS: GARAGE STALL:i: ATT. DET.
ESTIMATED CONSTRDCTION VALIIATION (egc:luding land) : $ 5��`�`� _
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the work will be in conformance with the
ordinances and codes of the City a;nd with the State Building Code; that I
understand this is not a permit and work is not to start without a permit; and
that the work will be in accordance w:ith the approved plan.
' � �� - r-y�
APPLICANT'S SIGNATQRE: ��--. DATL:
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� Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
i
� • � � On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would like to inform you that your request for a permit or
Iicense from the City of Orono or any of its departments may require
you to furnish certain private or confidential information.
You are notified that:
1. The information you furnish will be used to determine your
qualification for the permit or license requested.
2. You may refuse to suppl.y data, but refusal may require that
the City deny the permit or license.
3. The information may be shared with other 3ocaZ, state or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or Iicense requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review pri�a�e
data on yourself.
6. Your full name is required to process this application or
permit.
2.L'r �:"� �I'�"[v' �✓1)��I.t�C'I �
First Midd e Last
2X�-�� �>S�-�:� ���E,. 1� ..
Address
C��yzata 1�l�.; � 1� �`1 �
City State Zip
�f�l ss��S
Phone
I understand my rights as stated above.
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINAiYCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
'+ R
�.04 XIGHTS OF SIIBJECTS OF DATA
Subdivision 1. T9Pe °f ��' Th� righ secti�viduals on whom the data is
stored or to be stored shall be as set forth in this
Subd. 2. Information required
to be given in�v��' An.individual asked to
� su 1 private or confidentiel data concernina �am�i�in the collect g state agency,
PP Y uested
purpose and intended use of the req
political subdivision, or statewide system;
(b) whether he may refuse or is leg y
re uired to supply the requested dat8; (c) any known consequence arising from his
9 rivate or confidentisl data; and (d) the identity of
supplying or refusing to supply P State or federal law to receive the data. This_
other persons or entities authorized by 1 �nvestigative data,
requirement shall not apply when an indt�vla law en orcementuofficer.
pursuant to section 13.82, subdivision �,
The commissioner of revenue ma lert taX re�und instructionsu nsteadhos
subdivision in the individual income tax or r�
on those orms. . - --- - - .
Subd. 3.
Access to �ata by indivi�ual- UPon request to a responsible
authority, an individuel shall be informed Wh ublic pr vateeor confident al.e Upon his
individuels, and whether it is classified as p � ublic data on
e to him and, if he desires, shall
further request, an individual who is the subject oi stored private or�dU� � been
individuels shall be shown the data with�u�fan�y ��g. After an indi
�e i n for med of the content and meaning t he data need not be �isclosed to
shown the private data end informed of its utQ or�action pursuant to this section is
him for six months thereafter unless B �Sp n request by
� ending or additional data on the individual h� bee or p blic datarupoeated. The
� P require the
responsible authori ty s h a ll p r o v i d e c o p i e s o t e p �in the
the individual subject of te a���'�o ts of making,l�Qrt fYingy s�'d �omp g
requesting person to pay th _
copies. if ssible, with any re9uest
The responsible authority shall comply immediately, po
mgde pursuant to this subdivision, or within five days of the date of the request,
excluding Saturdays, Sundays and legal holideys, if immediate compliance is not
ossible. If he cannot comply with the request �t��i��nt W�ch toh omply fw h the
p heve en additional five ys
individuel, and rr►eY 5��� �d legal holidays•
request, excluding Saturdays,
Subd. 4. Procediu'e �►hen �ata is not accurste or complete. An individuel may
himself. To
contest the accuracy or completeness of public oinriwvra ti�tthe°respo�ible authority
exercise this right, an individusl shall notify
describing the nature of the disagreement. Tnacciu�pa e orencomplei and at pt to
days either: (a) correct the data found to be
notify past recipients of ineccurate ar incomplete�e belie esdthe datalto be cor ect
the individuel; or (b) notify the individu8l tha eement is
Data in dispute shall be disclosed only if the individual's statement of �8�' to the
• included with the disclosed data. ealed pursuant
' The determination of the responsible authority may be aPP
provisions of the administrative procedure act relating to contested cases.
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� � -� �� � I nereby certif� that thi� is
o \� 35�'� '.=- � true ana correct represen�ation
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� ��, - �� of a saz-ve=- o� t1i� bcundaries cf
� `��� i' �� th�t �rt of� ;.ots 1�5 �nd 1<6; and that
� }~� � ;,'hore .;vanue vacateci; and
\ ��rt of :.c.r�
`�� ��u:t part of tha tr�cts of lanc across from
\ �,ots 12; snc 12b en the opaosite side of i.,tike
Shore .lver.t.e as desienatad �r.� definod in the j.nstrizmc�r:t o�' uedication on the plat of
Sprin� i'r:r'f, de�cribed as co W-encin�; st the \ortr��_.�t corr.e: of i.,ot 12b; thence 'westerly
alonf; tti�� ?'c-�.•tr_�r'_y Lire t:�r�;of 20 feot; thenra ;.'outnerif �.3ra11�;1 to the Easterl;� line
of i,,ot L�E .� �is�.�nce oi �� `aet to t!:e point of bedinnin�; thence �asteri;; to a point on
thN ��_,:_�starl.r i.ine of '_,ot 12o distar.t 3� =eet So�it'r�erl-: alono th� :.asterl,�- line of :�ot 126
from t}is t��ort'r,esst corr.ar o*' :�ot 1�5; thence So�.:th�;riy aior.� the ;asteri;;� line of i,ot 1�6
to ths r.:o;:t :::isteri;;� co:.^.��r of :.ot 1?;; t}ier.co Southwe�terl� 3�on;; th� Southeasterly line
oi i�ot 1�; to the ^.ost Southei•1;;� corner of �ot 12>; tiienr�e ;;outhwesterl;• to Lhe Southeast
corn�;r of tne e�iu trsct, oi l.�r.d across fr��. `,ot 1:7 on t;�e o:.�site si���� of i�aris Shore
avenua �:s dec;i�,r.stad snd deiined in the instrument of dedicatior. on t�ia plst af Sprin�
Park; t;�ence Wes+erl;; �lon�; the Southerl;� lir.c; of ssid tract of 1�nd to t}ie shore of i�ke
Jrinneton'-;v; th�nce i?orth�:rl;� alon�, the shor�, of ���ke ?-'.innetonka to itG intersection uith
a line r��n��in�; a,railel with and 70 feet Souti-:erly of the i'ort'r:�rl�,� line �f i�ot 126 and
�t� exter,sior_, •.�� nea�urec at ri�ht angles � the P+ortherl,- line o�' �ot 1?6 and its exten-
sion; t'..�nce =.,�:st.�ri-� �1on�; s�id para11�1 lin� to s ao'_nt wnich is 17:..� feet �•;esterl;�
from t�•�a �iz�� oi' ��innin�;; thence :,asterl.�� to ti:e �:int o_ be�innir.�,, ull in Spring P�rk,
ar.d tnt 1oc��i�n �f' ��li Pxistin6 builc�in�,s tner���^. I+ does not p�•�rt to hou o .ier
i�pro��er��nts or ericroach�ents. �
Sc�l^: 1" = 5�' Gordon ic. Coffin P,e�; o. 606k
�te : 7-2��-�7 :�3nd ;;urveycr an� Planner
o . =ron :nark�r :�n� i�a;ce, 'linnesota
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' Z �; _ �s � Certific�ta of Survey:
t� `, `
� � �� I hereby csrtiiy that thi:: is
� , 35'"s � '�-_ a true and correct reprsser.�ation
�..
i � - �� of a surve-.- oi the bcundsries r,f
� ` � �� th�t �rt oL' :.ots 1�5 snd 1<b; and that
.��' �
\\\\ ?art of �c.ke �hore ,;venue vacated; and
`�;, trtit psrt oi the tract�. of land across from
� i.,ots 12; snu 126 on the opaosite si�e of i,ake
Shore ,lver.ue as dasibnated �.~_d defined in the instr����c3t:t oi ciedication on the p].3t of
Sarir.t, Pr:rk, ds�cribeu as com:-oncin6 at the ?vortt,:�est cor:�er of :,ot 1<6; thence �westerly
alonE; til4� ?'�.•tr��ri j Lire thur��of �0 feot; thence �'out�erlf �irsil�;l to the F:3sterl;� line
of :,,ot 1�E � :��::'�:nce ef �8 `eet tc t�:e poir.t of �edir_r.ir.�; thence �asterl;; to a point on
th�: �aste^l,r linr of '.,ot 12h distar.t 3� =eet �o>>therl�: alona tha :,usterl}� line of :,,ot 126
from ttis A�ortheast cornsr o� �.ot 1��; thenc9 �outh�riy alon� the �esteri;;� line of i,ot 126
to tne :no�t �:�:T.C':'1;;� corr.er of i,ot 1�5; th�r.co �outhve�terlf �1on�; th� Suutheesterly line
oi i,ot 1�� to ttii� ::o.t Sout�:ez•l;;r corner of ',ot 127; tc.ance ;;outhwosterl;; to t,",e Southeast
corn��r o' the 5�i�i trlct, ot l�tnd across frc�c. :,ot 1�7 on t�e oa�site sic�: of i,a�:n Shore
avenu� as deei�;r.�t�d snd de?ined in the instrument of dedicatior. on th� plst of Sprin�
Park; tnence Wes+�erl;; alon�; the Southerl� lin�; of ssid trsct of land to the shore of Iake
?:innf�ton'-,�; thence i?ort;~�erl;� alor.� the shor�, of �ake ?�'.i:�netonka to its intersection with
a line r,:nnir.� a�:railel with and 70 feet Sout'r_erl�r of the �'ortrarl; line of i,ot 126 and
it� exte;r;sion, �� c���ured at ri�ht an�les to the Piort};ert - line of Lot 126 and its exten-
sion; t'.:ence n:st,�ri�• alon�; s�id parall�l lir.�� to a �oint w�ich is 170.4 feet ;��esterl;�
from t;,e �aiiit oi t;�6innin�; thence :,asterl�i tc t't.e �ir.t o_ be�innir.�, all in Sprin� Park,
ar.d tne 1ocsLi�n �f' ali sxistin6 builain�s ther<:nr, It does not pL;r�rt to ow o her
i�prorerrx�nts or encroac�ents. . �
Sc�,1� : 1" = 5�' Gordon R. Coffin ;e� o. 6064
Date : ;-2c,-77 :.snd aurveyor ans Planner
o . :ron :�rb.�r �n€; :�e, '•:innesots
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